摘要
目的比较腹横筋膜松弛度及韧性相当的条件下行Bassini疝修补术与Shouldice疝修补术的疗效。方法2000年3月至2006年7月,同一手术者在行腹股沟疝修补时,术中将腹横筋膜毁损不明显的72例患者随机分为两组:A组37例行Bassini疝修补术;B组35例,行Shouldice法修补。结果A组平均手术时间为(33.8±6.1)min,明显短于B组的(46.7±8.2)min,P<0.05。A组住院天数平均(4.5±2.5)d,术后发生切口(或阴囊)血肿3例(8.1%),无切口感染患者;B组住院天数(4.2±3.5)d,术后发生切口(或阴囊)血肿2例(5.7%),切口感染1例(2.9%),两组比较无统计学差异(P>0.05)。A组随访26例(70.3%),术后发生睾丸胀痛、萎缩1例(3.8%),术区紧张不适14例(53.8%),疝复发1例(3.8%);B组随访24例(68.6%),发生上述并发症的患者分别为2例(8.3%),10例(41.7%)和0,两组比较无统计学差异(P>0.05)。结论在腹横筋膜松弛度及韧性相当的条件下Bassini与Shouldice疗效相当,且较Shouldice技术要求低,易掌握,更适合作为基层医院治疗成人腹股沟疝修补的首选术式。
Objective To compare the clinical effects of Bassini and Shouldice operations for inguinal hernia under the similar conditions of the endoabdominal fascia.Methods 72 cases of inguinal hernia were randomized into two groups,of which 37 cases in Group A underwent Bassini,and 35 cases in Group B underwent Shouldice.The endoabdominal fascia of the 72 cases was assessed as mild destruction.Results The operation time of Group A and Group B was(33.8±6.1)minutes vs.(46.7±8.2)minutes(P<0.05).But there was no sign...
出处
《中国现代手术学杂志》
2009年第1期34-36,共3页
Chinese Journal of Modern Operative Surgery
关键词
疝修补术
腹股沟疝
herniorrhaphy
hernia
inguinal
